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      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD B FRATIANNE MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DOLORES GARCIA</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOANN Z GLICK</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BERRY GRANT</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN J GRECH</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KEVIN M GROBELNY</PersonNm>
        <TitleTxt>DIRECTOR/OFFICER</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTOPHER D HESS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JENNIFER K HURD</PersonNm>
        <TitleTxt>DIRECTOR/OFFICER</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BRENDA K KIRK</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MELISSA KLINE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>COLLIN K KNISELY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RICARDO J LEON</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARCY LEVY SHANKMAN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LAWRENCE A MACK</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES E MISAK MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JONATHAN PRESSNELL</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LISA RAMIREZ PHD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ALEXANDER W SCHAUER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>NAVPAUL S SIDHU</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TERRY STANCIN PHD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GEORGE SULLIVAN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LUIS E TOLLINCHE MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JACQUELYN WIEDEMER</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SHERRIE D WILLIAMS</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DEANDRA WILLIAMS-LEWIS</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>AARON B WITWER</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KATE L BROWN</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHELLE R WOOD</PersonNm>
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      <ContractorCompensationGrp>
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          <BusinessName>
            <BusinessNameLine1Txt>MALONEY NOVOTNY LLC</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1111 SUPERIOR AVE STE 700</AddressLine1Txt>
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            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44114</ZIPCd>
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        <ManagementAndGeneralAmt>157266</ManagementAndGeneralAmt>
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        <FundraisingAmt>50000</FundraisingAmt>
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        <ManagementAndGeneralAmt>104415</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>18641</ManagementAndGeneralAmt>
        <FundraisingAmt>13612</FundraisingAmt>
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      <InsuranceGrp>
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        <ManagementAndGeneralAmt>1155184</ManagementAndGeneralAmt>
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        <Desc>BAD DEBTS</Desc>
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        <ManagementAndGeneralAmt>262552</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>CATERING/FOOD</Desc>
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      <OtherExpensesGrp>
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        <Desc>CONSULTING</Desc>
        <TotalAmt>4050</TotalAmt>
        <FundraisingAmt>4050</FundraisingAmt>
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        <EOYAmt>2809570</EOYAmt>
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        <EOYAmt>7496087</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>88532501</EOYAmt>
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      <OtherAssetsTotalGrp>
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        <EOYAmt>689923</EOYAmt>
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        <BOYAmt>97888896</BOYAmt>
        <EOYAmt>112834676</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>100334</EOYAmt>
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        <EOYAmt>1942379</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>287227</BOYAmt>
        <EOYAmt>274430</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>948903</BOYAmt>
        <EOYAmt>2317143</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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        <BOYAmt>32045456</BOYAmt>
        <EOYAmt>38631849</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>64894537</BOYAmt>
        <EOYAmt>71885684</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>96939993</BOYAmt>
        <EOYAmt>110517533</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>INTENDED USE OF ENDOWMENT FUNDS: ENDOWMENT FUNDS ARE HELD IN PERPETUITY AND THE INCOME DERIVED FROM ENDOWED ASSETS IS AVAILABLE FOR EXPENDITURES THAT FURTHER THE MISSION OF THE METROHEALTH SYSTEM.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>FIN 48/ASC 740 FOOTNOTE: THE FASB PROVIDES GUIDANCE FOR HOW UNCERTAIN TAX POSITIONS SHOULD BE RECOGNIZED, MEASURED, DISCLOSED, AND PRESENTED IN THE FINANCIAL STATEMENTS. THIS REQUIRES THE EVALUATION OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN THE COURSE OF PREPARING THE FOUNDATION'S TAX RETURNS TO DETERMINE WHETHER THE TAX POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED WHEN CHALLENGED OR WHEN EXAMINED BY THE APPLICABLE TAX AUTHORITY. TAX POSITIONS NOT DEEMED TO MEET THE MORE LIKELY THAN NOT THRESHOLD WOULD BE RECORDED AS A TAX BENEFIT OR EXPENSE AND LIABILITY IN THE CURRENT YEAR. FOR THE YEAR ENDED DECEMBER 31, 2025 AND 2024, MANAGEMENT HAS DETERMINED THERE ARE NO UNCERTAIN TAX POSITIONS.</ExplanationTxt>
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          <CityNm>ST PETERSBURG</CityNm>
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          <CityNm>CLEVELAND</CityNm>
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        <ExplanationTxt>MONITORING USE OF GRANT FUNDS: ALL REQUESTS FROM THE METROHEALTH SYSTEM FOR FUNDS ARE RECEIVED BY THE FOUNDATION WITH A DETAILED NARRATIVE AND LISTING OF EXPENSES INCURRED. THE FOUNDATION REVIEWS THE REQUEST TO ENSURE THAT ALL EXPENSES FALL WITHIN THE GUIDELINES OF THE GRANT. ONCE ALL APPROVALS ARE OBTAINED, THE DISBURSEMENT PROCESS BEGINS.</ExplanationTxt>
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        <ExplanationTxt>USE OF THIRD PARTIES - THE FOUNDATION UTILIZES THE SERVICES OF BROKERS TO SELL DONATED SECURITIES. THE BROKERS' FEES ARE AT OR BELOW THE FAIR MARKET VALUE OF SUCH SERVICES.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>REPORTABLE RELATIONSHIPS: MICHELLE WOOD AND MIGUEL DE GARCIA HAVE A BUSINESS RELATIONSHIP.</ExplanationTxt>
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        <ExplanationTxt>CHANGES TO ORGANIZING DOCUMENTS: THE BOARD MADE SIGNIFICANT REVISIONS TO ITS CODE OF REGULATIONS IN 2025. SUCH CHANGES INCLUDE: - CLARIFICATION OF ELECTED VOTING MEMBERS VERSUS EX-OFFICIO NON-VOTING MEMBERS WHO ARE APPOINTED BASED ON THEIR ROLE WITH THE METROHEALTH SYSTEM (MHS); - CHANGES TO THE TITLES OF CERTAIN EX-OFFICIO DIRECTORS; - DESIGNATION OF OFFICERS WHICH NOW INCLUDE THE BOARD CHAIR, VICE CHAIRS, PRESIDENT, CHIEF FINANCIAL OFFICER, AND TREASURER; - ESTABLISHMENT OF THE TERM OF SERVICE FOR VICE CHAIRS. VICE CHAIRS MAY NOW SERVE UP TO THREE CONSECUTIVE ONE-YEAR TERMS WITH THE ABILITY TO SERVE ONE ADDITIONAL YEAR; AND - ELIMINATION OF THE ROLE OF THE MHS CHIEF EXECUTIVE OFFICER AS A FOUNDATION OFFICER TO STRENGTHEN THE SEPARATION BETWEEN MHS AND THE FOUNDATION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>ELECTION OF THE GOVERNING BODY: THE FOUNDATION HAS DIRECTORS THAT ELECT THE GOVERNING BODY.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>APPROVAL OF DECISIONS OF GOVERNING BODY: THE BOARD HAS SEPARATE COMMITTEES RESPONSIBLE FOR THE FINANCIAL OVERSIGHT, INVESTMENT OF FOUNDATION ASSETS, COMPLIANCE, AND FINANCIAL AND FISCAL OVERSIGHT (FINANCE AND INVESTMENT COMMITTEE); BOARD RECRUITMENT (NOMINATING AND BOARD DEVELOPMENT COMMITTEE). THE EXECUTIVE COMMITTEE (MADE UP OF OFFICERS AND ELECTED MEMBERS OF THE BOARD) MAY EXERCISE THE POWERS OF THE BOARD OF DIRECTORS BETWEEN MEETINGS AND SHALL PERFORM SUCH DUTIES AS MAY BE DELEGATED BY THE BOARD OF DIRECTORS. THESE COMMITTEES ARE RESPONSIBLE FOR TAKING APPROPRIATE ACTION ON THE VARIOUS SUBJECTS AND FOR RECOMMENDING AND REPORTING ACTIONS TAKEN TO THE FULL BOARD FOR RATIFICATION IN ALL MATERIAL CASES. IF ACTIONS BEING RECOMMENDED ARE COMPLEX, TYPICALLY THE ACTION IS NOT IMPLEMENTED UNTIL THE FULL BOARD OR EXECUTIVE COMMITTEE OF THE BOARD HAS REVIEWED AND RATIFIED THE DECISIONS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 REVIEW: THE FINANCE AND INVESTMENT COMMITTEE OF THE METROHEALTH FOUNDATION IS CHARGED WITH THE RESPONSIBILITY OF REVIEWING AND APPROVING FORM 990 PRIOR TO ITS SUBMISSION. AN ELECTRONIC COPY AND/OR HARD COPY IS PROVIDED TO THE MEMBERS OF THE COMMITTEE AND IS REVIEWED IN DEPTH AT A FORMAL MEETING OF THE COMMITTEE MEMBERS. THE FINANCE AND INVESTMENT COMMITTEE APPROVES A MOTION TO SEND THE APPROVED FORM TO THE FULL BOARD OF THE METROHEALTH FOUNDATION. THE APPROVED FORM IS DISTRIBUTED ELECTRONICALLY AND/OR BY HARD COPY TO THE FULL BOARD MEMBERSHIP FOLLOWING THE REVIEW AND APPROVAL BY THE FINANCE AND INVESTMENT COMMITTEE. ANY QUESTIONS OR COMMENTS ARE RESOLVED PRIOR TO THE FILING OF FORM 990. ALL MEMBERS OF THE BOARD OF DIRECTORS ARE OBLIGATED TO REVIEW FORM 990.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 PROVIDED TO THE GOVERNING BODY: THE FOUNDATION HAS DISTRIBUTED FORM 990 TO THE FULL BOARD OF DIRECTORS WITH THE EXCEPTION OF DONOR INFORMATION ON SCHEDULE B. BECAUSE OF SCHEDULE B'S PRIVATE AND CONFIDENTIAL NATURE, THE FOUNDATION HAS CHOSEN TO NOT SHARE THAT INFORMATION WITH THE BOARD, INCLUDING MEMBERS OF THE FINANCE AND INVESTMENT COMMITTEE. AS SUCH, WE ARE REQUIRED TO ANSWER "NO" TO THE QUESTION ON 11A EVEN THOUGH A COPY OF FORM 990 (WITH REDACTED DONOR INFORMATION ON SCHEDULE B) WAS PROVIDED TO THE DIRECTORS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>MONITORING AND ENFORCEMENT OF CONFLICT POLICY: ANNUALLY, BOARD MEMBERS MUST DISCLOSE THEIR BUSINESS AND FAMILY RELATIONSHIPS. THIS INFORMATION IS DOUBLE-CHECKED TO ENSURE THAT THERE ARE NO UNDISCLOSED CONFLICTS IN CARRYING OUT THE BOARD MEMBERS' RESPONSIBILITIES/DUTIES. THE INFORMATION IS UPDATED ANNUALLY BY EACH BOARD MEMBER. THE PRESIDENT ALSO MONITORS COMPANIES THAT THE FOUNDATION DOES BUSINESS WITH AND CONFIRMS DISCLOSURE OF BOARD MEMBERS' RELATIONSHIPS WITH THAT BUSINESS. ALSO, TO THE BEST OF OUR KNOWLEDGE, THERE ARE NO KNOWN OFFICER CONFLICTS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION REVIEW AND APPROVAL: THE METROHEALTH SYSTEM PAYS THE SALARIES AND BENEFITS OF THE HOSPITAL STAFF WHO ADMINISTER THE METROHEALTH FOUNDATION. THIS IS RECORDED AS AN IN-KIND CONTRIBUTION FROM THE METROHEALTH SYSTEM, ALONG WITH THE CORRESPONDING EXPENSE ON THE FOUNDATION'S FINANCIAL STATEMENTS.</ExplanationTxt>
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